Isaac, Shaun

Isaac, Shaun is an individual health care provider with primary practice located at 603 7Th St S Suite 330, St Petersburg FL 33701-4719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Isaac, Shaun can be contacted via phone (727) 553-7390.

Contact Information

Primary practice address
603 7Th St S Suite 330 St Petersburg FL 33701-4719
Phone: (727) 553-7390
Fax: (727) 553-7399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME 86370 Florida

Profile Details

NPI number 1083677322
LBN Legal business name Isaac, Shaun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083677322 NPPES
Florida MEDICAID 269689400

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